State Plan Amendment (SPA) 23-0004 is being submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023. For more information, read the proposed SPA pages. Posted byKelly Shannon March 9, 2023 0 Share: Related Articles MS SPA 22-0004 COVID Vaccines and Administration approved by CMS MS SPA 20-0015-CHIP Behavioral Health approved by CMS Public Notice for MS SPA 21-0021 Extended Services for Pregnant Women MS SPA 21-0037 Christian Science submitted to CMS How to Complete Your Renewal Online Synagis update – March 2023